Nursing documentation--beyond the question of structure.
In this paper experiences from a project to improve nursing documentation in a medium size Scandinavian acute care hospital are presented. The project has followed an action research approach to ensure close cooperation in a coordinated fashion over a period of time. In the paper it is explained that structural changes are not enough to ensure higher quality in the nursing documentation. A broader perspective on clinical practice is therefore presented in order to reflect the complexity of clinical practice and varying documentation needs.
Moen
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Institute of Nursing Science, Faculty of Medicine, University of Oslo, Norway. anne.moen@sykepleievit.uio.no
Hellesø
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Olsen
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MF
D001330:Electronic Data Processing; D006769:Hospitals, General; D006801:Humans; D009664:Norway; D015403:Nursing Evaluation Research / Q000379:methods; D009736:Nursing Process; D009737:Nursing Records / Q000592:standards*; D011340:Problem Solving